MEDICARE: MARIYA RYBAKOVA M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	39110	CA

General Provider Information

NPI Number	:	1003795550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIYA RYBAKOVA M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	5807 TOPANGA CANYON BLVD APT B106
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-4615
Country	:	US
Telephone Number	:	818-620-1532
Fax Number	:

Provider Business Practice Location Address
First Line	:	3515 OVERLAND AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-5521
Country	:	US
Telephone Number	:	310-839-5201
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	08/28/2025

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Directions to “ MARIYA RYBAKOVA M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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